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03/21~2~07 15:35 FAX 14024714429 NEBRASKA Dee !gj 003 do 11.1'lllrlll.II~'1 r 99175811554-1 PSIS' 1 GONZALES SAI.. W~DOR . Fll.d; 03/21/2007 02,51 PM 200702201 Ir Notice of State .Tax Lien n.bl1lska departm."t 01 r.venue PLEASE DO NOT WRITE IN THIS SPACE INDIVIDUAL INCOME TAX SOC. SEC. NO. NEBR~ IDENT. NO~ SPOUSE soc. SEC. NO. 'l'AXABLE YEAR LIEN NO. COUNTY DATE OF NOTICE DATE OF ASSESSMENT 606092892 42424518 2003 062930367 HALL 10/20/2006 '08/03/2006 SALVADOR GONZALES /' I . ~ j Q. ," j ~ 4i1:4-' 3'856 L.Ol ora.oO: u. 0.. ~~~~p 4~c De.rwuICO. . gO;wb THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF rHE STATE 'OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND INTEREST, WHIGH ARE SHOWN BELOW ARE DUE FROM THE TAXPAYER SPECIFIED ABOVE AND. REMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO . THE. TAXPAYER OR HEREAFTER ACQUIRED. 'AMOUNT OF TAX . . . . . . . . . . 704.00 PENALTY . . . . . .' . . . . . . 35 . 20 INTEREST (COMPUTED TO 10/20/2006) 106.23 TOTAL AMOUNT DUE . . .. . . . . . .. 845.43 I HEREBY CERTIFY .THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE. REVENUE LAWS OF THE -STATE OF NEBRASKA IN THE DETERMINATION OF THE AMOUNT SHbWNTO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE AMOUNT DUE AFTER DEMAND. IF-THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. .7iMl:~.... ..... PREPARgR'S SIGNATU fi;~ATURE .......~....... TITLE - J~f1.~.~.~....... TITLE: . (l./-oZ-) . d:i ;;;1t.~f..o1/. .Y7~~ . . DATE/TELEPHONE ..%:,<q:-~7. . . . . . . . . . DATE 'v IIT1S 111104